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KMID : 1159920080090010001
Korean Journal of Women s Health
2008 Volume.9 No. 1 p.1 ~ p.15
The Effect of Behavioral Intervention on Stress Urinary Incontinence in Women
Park Hyo-Jung

Abstract
Purpose: The purpose of this systematic of the literature was to demonstrate the effect of behavioral intervention for female stress urinary and to indicate implications for clinical practice.

Methods: Strategies were explored to locate studies. These included electronic databases, i.e., Medline, CINAHL as well as bibliographies controlled trials, (2) results reported in women with SUI, and (3) intervention included pelvic floor mexercise, biofeedback, vaginal cone, and/or electric stimulation.

Results: Nine study reports were identified for the systemic review. There is strong evidence to suggest that PFM exercise are effective in reducing the symptoms of SUI. Despite significant effects of biofeedback after testing as an adjunct to PFM exercise, there is no evidence that PFM exercise with biofeedback is more effective than PFM exercise alone. There is little evidence to support the use of vaginal cone in PFM exercise and electrical stimulation is particularly appropriate for patients who are initially unable to contract their PFM.

Conclusion: Although in some circumstances other adjuncts may be deemed appropriate, the primary focus of treatment should be PFM exercises.
KEYWORD
pelvic floor muscle exercise, stress urinary incontinence, women
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